FORM 1023-EZ for LATIN COMMUNITY HEALTH ADVISORS INC

Field Data
EIN 81-3009079
Case Number EO-2016204-000107
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LATIN COMMUNITY HEALTH ADVISORS INC
Organization’s Mailing Address 2240 COBBLEFIELD CIR
City APOPKA
State FL
ZIP 32703
Accounting period End 12
Primary contact name SARIEL FEBO NEGRON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARIEL FEBO NEGRON
PRESIDENT
2240 COBBLEFIELD CIR
ORLANDO FL 32703

Officer/Director/Trustee Two

EDNA RODRIGUEZ RIOS
VICE PRESIDENT
2240 COBBLEFIELD CIR
ORLANDO FL 32703

Officer/Director/Trustee Three

OMAYRA RODRIGUEZ RIOS
DIRECTOR
2240 COBBLEFIELD CIR
ORLANDO FL 32703

Organization’s website
Organization’s email SFEBO@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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